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WALGREEN CO.
CH09354A NEIGHBORHOOD HEALTHCARE
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Covered Entity Details
Entity Name
NEIGHBORHOOD HEALTHCARE
Subdivision Name
NEIGHBORHOOD HEALTHCARE ~ LAKESIDE MEDICAL
Type
HRSA-Funded Health Center
340B ID
CH09354A
Entity Address
10039A VINE ST
LAKESIDE, CA 92040-3130
Grant Number
H80CS00285
Participating Start Date
7/1/1996
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #11990
9728 WINTER GARDENS BLVD
LAKESIDE, CA 92040
Pharmacy Comments
Contract Details
Approval Date
1/14/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LISA DAIGLE, CFO
(760) 737-6901
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/14/2025
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